| NPI | 1124205273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROOZ Dentist 972-580-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 20898) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |